Provider Demographics
NPI:1285047894
Name:RIEBLE, RACHEL
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:RIEBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 W THUNDERBIRD RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-6308
Mailing Address - Country:US
Mailing Address - Phone:602-439-6862
Mailing Address - Fax:602-439-1319
Practice Address - Street 1:1855 W THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-6308
Practice Address - Country:US
Practice Address - Phone:602-439-6862
Practice Address - Fax:602-439-1319
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist